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10405 SW HILLVIEW STREET-1 v i 7. V l inA ' i M ,. rr•.w-.I+ry•- . ..r......•.••-.,.A,,••n. .- ..•.-+,�"t!.�,�...r.0.•.�,°79"` _ aw ,.. ...,-., .,�,m-..Yt-y}'�,•-a•-.....,,r.,,..,.'f,1„n,M,,,rpm,.,p,s,,,..,.s.w„�,�.,,,,�.r,-.,.,,,+n.v.,�..•„q . APPI_,ICATION — STREET IMPROVEMENT/EXCAVATION �jYz `kOPY TO: ORDINANCE NO. 74-14 / (WHITE)-FILE (YELLOW)•INSP. (INSTRUCTIONS ON SEPARATE SHEETI (PINK)•ptHER AGENCY-61,1,5, I (BLUE))--APPLICANT APPROVED (, APPLICATION NO.: _VI �-.— — NOT APPROVED ❑ CITY OF TIGARD, OREA;ON FEE AMT,: s FlU•i U �_ PENDING FEE. OMT, ❑ CI`T'Y HALL. RECEIPT. _?-1 7_1 1`j�49 PENDING SECURITY 13 FUBLICWORKS OEPARTMENT Bvr_i&- 1)ATE__Ad__I_J�.L- -I PENDING AGENCY "OK" [� Application and Progre),s Record 't _ — _ _ PENDING INFORMATION ❑ FOR STREET IMPROVEME,4T/EXCAVATION MAIN SEEQNCnE80NOxM ANNUAL. 11 PENDING VARIANCE ❑ EXPIRATION DATE: _93u �e PE R M I T N 0... DATE I 95'j E D (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL — AS NSTALL `AS DI'_SCRI"+ED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. i APPLICANT _ice'• itt.ltxW 1Jwi—,t. ^� _..�_. N_ AME___._ ADD R�BI..._�.._w_—..� SSib.18®AL.._ _�#_1S6t t.,_— CONTRACTOR CITU NAME ALC-KS9 CITV PLANS BY_._._ lam' CitV xiZtz}! qm1S1wt� �� NAM-�6O CI R��__ __.. _. ____—C 1.Ty ESTIMATED IMPROVEMEN1 TOTAL VALUATION ( COST): S ._%pct. 1�_�_ DOLLARS (2) EXCAVATION DATA: FOR OFFICE USE MIN.Q04 X 9_ A.U.�l1 S AJ STREET - DESCRIPTION PROGRESS He INSPEC 1-ION STATUS NAME S%'RFACE CUT CUT CUT MATER'AL INSTALLED ITEM DATE. REMARKS/TYPE BY I YPF LENGTH WIDTH DEP7F:�17EM & QUANTITY STREET FEN D 111 ' 1 ti: 4+ 11 1ftiW[l _ .)4k�) LT>t7fl t _�- R 7P ON _---- ---- E Q U — / L / 11 - ESTIMATED STREET OPENING DATE.•. � E g T ESTIMATED STREET CLOSING DATE: D (3) SECURITY 1,40. _ SECURITY AMT: S� l.JUO�I'1 `�_ C-LOSED SURETY CO : FINAL - --- - crlrilrir.ncHEcic 0T CASH ❑ 1/OND _ INSPEC. r (4) PI-CIT PLAN: INDICATE SITE PERTINENT PHYSICAL —�-- ► 1 SPECIAL PPOVISIONS J CONDITIONS: FEATURES; E..vAVATIUN LOCATION AND EXTENT. A j) LL"y aL'V IITIS`r't= LAd Ylw� 11Af XX , Star'C,, SdIL�C. tl I I 1 I 1, 11u VXXA juu C>,� fan W rity `. I I Si tr: LU 'W)34 H:L v�,� �� I _ �1 4.4x:LY Tatum. URB L iCcs] t QIC mat cxxli�ly wird uz; Vb:•k Ao-ml"1Wt if iI ,iLtitit �t►ritiril. 11:kt1C (,UU-U cnx)r, :JI;• LWjWaU Lar. JA"10 we r. a rn sat rurr, -mx#i JL Clio suj OL eacZSiwsA_la6d�S.._ (5) NOTE THE: CITY OF TIGARD DOES NOT, HEREB", G /HT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF-WAY JURISDICTION IS THAI OF WASHINGYON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIREC SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIVICATIONS PERTINENT TO CONDUCT OF THIO WORK, AND TO SAVE HARMLE3S "HE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM AI''LICANTS ACTIONS. APPLICANTS SIGNATURE _,•., �.,,�. 4A TE INSPECTION NOFICE City of Tigard Building Depai tmnent P.O. Box 23397 Tigard, Oregon 97223 Phone: 839-4175 n Type -f In-nection i Date Requested, r\ Time--A.M. P.M. / Address & (J `i <S L47', '/ r L ermit #k Owner -_-__--_- --_- .__ _ LO Builder The followinq Building Code deficiencies are required to be corrected: i Presented to , pprovod ------- ------------- Inspector _ y "�� _ ❑ Diapprotnd Date1J1 _ CALL FOR REINSPECTION ❑ YES fl NO L iUAKU ML'1.1t:11r J 61NL 1'L'Kill 1 13125 SW Hall Blvd. aeawtpdon QTY Prlrca ♦MT 11.0. Box 23397 Table 9A M•cMnl_�I C-0`10 ��( 11gard OR 97223 1) Permit Fee _ •0- I -0- 10.00 b39-4175 -2) Supplemental Prtrmit 3.00 1) Furnace to 100,000 BTU incl. ducts & vents 6T00 (� 2) Furnace 100,000 BTU + incl. ducts & vents _7.50 _ Nome of Development '— 3) Floor Furnace 6.00 , � incl. vent — Job I SI4) Suspended heater, wall heater Address Tax Lot or floor mottnte_ d heater_...-___ 6.00 - Lot Block subdivision 5) Vent not incl. in Name ( a name of Wiliness) appliance permit — 3 .00 Cz - oohs -�- 6) Repair of heating, refrig. -- _ Nailing Addr••r Ptaone E.DO -- cooling, absorption unit Owner 1!7`- v-- S� ) 1 Ll lid 7) Bailer or comp to 3HP — city/stats unit to 100,000 BTU 6.00 �eha.lU C.) cl-7.L z 3 _ absorp. _._ - Namo, 8) Boiler or comp to 3HP-15HP �� F,��.,� p��„uN ��, absorp. unit 40 500,000 BTU 11.00 Melling Address Phots 9) Boiler or comp 15-30 HP� 15.00 '11-u,7 — absorp. unit %--1 million Contractor cAfmale ZIP 10) Boiler or comp 30-50 HP j2� p(Z_ 9 7Z3 ? absor_p_ unit 1--j_75 million_ . _ 22.50 e,Male Reglstretlon No. Clay Bus. Taw No. 11) Boiler or comp 50 HIP - , no(, 7 absorp. unit 1,750,000 BTU f 31.50 _ t hw" acknowledge that ln have�read this oWllcallon that th1 Informetlon 12) Air handling unit 40 elven Is nor�eol, that t am the owner o authorised agent of the owner. the' 10,0M CFM 4.50 plans submitted are In compllani with State Iowa, thel I em registered with 'he Stale Builders' Board, that the number given is correct. (If exempt 13) Air handling unit 7,50 501 1r,04" State registration pl•s.�e give reason below). 10,000 CFM_+ -- _- ______ 14) Non portable 4.50 -- —" evaporate cooler - 15) Vert fan connected 3.00 --- to_a single duct _T 16) Ventilation system not �¢_. �0 (r t— included in appliance permit - 4.50 Signature (owner or t) pair l7'1�Hoad served by 4.50 Describe work addition❑ alteratioriL repair❑ _ mechanical exhaust _ —_ to be dune residential ❑ non--residential ❑ 18) Domestic type incinerator 7.50 Existing use of C building or property__ 19) commercial or industrial `-` � - -" proposed use of30.00 type incinerator _ - ��- - building or property 20) Other i.e., woodstove, water electricl[J' heater, solar, clothes dryers, etc. 4.50 Type of ilei — ell [l nnlurnl gas[] LPIi❑ -" 2 21) Gas piping one to four outlets NOTICE THIS PERMIT BECOMES NULL AND VOIDIF WORK OR 22) More than 4-per outlet SUBTOTAL / CONSTRUCTION AUTHORIZED IS NOT COmf.E,,,x[D WITHIN 190 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED 4% SURCHARGE FJ OR ABANDONED FOR A PERIOD OF 190 DAYS Al' ANY PLAN REVIEW 25%OF SUB-TOTAL TIME AFTER WORK IS COMMENCEt1. ___—_ TOTAL 6., Special Conditions _-__ --- Dole iS911ed �—"�1 -- ®� INSPECTION NOTICE City of Tigard Building Department ! P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _ `,eA � 4,a- Date Requested ��--�-��--� i 2 - 0 11me A.NL —P.M. Address �L.l� 7_SN ,J _ Permit #.._yy.5r -- / — Owner e-` _ Lot # Builder _-- —__-- 2 o The following Building Code deficiencies are required to he corrected: Presented to Approved Inspector _ ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES 0 NO ;',4ceipt CITY OF TIGARD MECHANICAL PERMIT Permit Description CITY PRICE AMT Tablo 3A Mechanical Code — City of Tigard 1) Pormit Fee -0- -0- 10.00 13125 S.W. Hall Blvd. — ---._-�- — P.O. Box 23397 2) Supplemental Permit 3.00 Tigard, OR 97223 639-4175 FFF ace to 100,000 BTU 6.00 ucts&vents -- ace 100,000 BTU + 7.50 ducts&vents _ -- r Furnace 6.00 Name of Development vent Address Iended heater,wall heater 6.00 Job or mounted heaterAddress / not incl.inTaxLot Map No 3'00 iance permit _ Lot Block sutxtivision Hi�pair of heating,refr ig., 6.00 Name(or name of business) 6) cooling,absorption unit Boiler or comp to 3 HP 6.00 Melling Address Phone 7) absorp.unit to 100,000 DTU Owner Boiler or comp to 3 HP-15 HP 11.00 cttw5tete Zip 8) absorp.unit to 500,000 BTU Boiler or comp 15-30 HP 15,00 --- Name 9) absorp.unit'/-1 million _ —_ Phone _ 10) Boiler or comp to 30-50 HP 22.50 Mailing Address absorp.unit 1-1.75 million _ Contractor — zip 11) Boiler or comp to 50 HP 31.50 city/Stat® absorp.unit 1,750,000 BTU Air handling unit to 4.50 state Registration No. City Bus.Tax No 12) 10, 000 CFM — --- 13) Air handling unit 7.50 I hereby acknowledge that I have read this application that the information given is 10,000 CFM 1- - correct,that I am the owner or authorized agent of the owner,that pans submitted are in compliance with State laws,Ihel I am registered with the State Builders'Goard,that the 14 Non portable 4.50 number given Is correct (If exempt from State registration please give reason below). ) evaporate COOIer _ 15) Vent farm connected 3.00 _._ toasin lecuct — — 16) Ventilation system not 4.50 Included in appliance permit —` — Hood served by 4.50 17) mechanical exhaust Signature(owner or agent) _ Dat( 18) Domestic type 7.50 incinerator _ -- Describe work Eladdition ❑ alteration Cl repair [ICommercial or industrial to be done residential O non-residential C] 19) type incinerator 30.00 Existing use of Other i.e.,wood-cove,water 4.50 building or properly — 20) heater,sol zir,clothes dryers,etc. Proposed use of — 2.00 building or property _ 21) Gas piping one to four outlets Type offuel- oil ❑ n0urai gas ❑ LPG CI electric 1711 22) Mire then 4-per outlet N9TIC — SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- 4%SURCHARGE STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 — DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED 1014 A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL WORK IS COMMENCED. Spe,lal Conditions_ — Date Issued ___ _.— —by CITY OF TIGARD,OREGON NOTICE OF MUNICIPAL CODE VIOLATION THIS NOTICE IS BEING ISSUED TO BRING TO YOUR ATTENTION THAT A VIOLATION OF TIGARD ORDINANCES HAS BEEN NOTED, VIOLATION OF SECTIONS UNOcrI CHAPTER OF THE TIGARD MUNICIPAL CODE DEAI_NGWITH 2CCUP"" permi.t�. _ NATURE OF VIOLATION:I]CCtlparicy Of bU11.(11CIg W,U f' 1800 PLEASE CORRECT THIS VIOLATION WITHIN__ _____.DAYS. ISSUED TO: J.L.Light: Lu. ADDRESS: i ,4 E S.W. 1 '..,d ti h __ -.-------,TIGARD,OREGON 97223 t�3�3-fi5(i0 TELEPHONE � r3 1.0 R, DATE OF BIRTH NOTICE ISSUED BY _- _ DEPARTMENT L-u 11 d 1 o y LOCATION OF VIOLATION 1,040') ,lel. I l.l_1 ;l,l S 1',. THIS IS A WARNING, NOT A CITATION. HOWEVER, IF THIS CONDITION IS NOT CORRECTED WITHIN THE TIME SPECIFIED,THE CITY WILL INITIATE LEGAL�PTJN. CITY OF TIGARD DATE;SSUED 17420 S.W.MAIN _ NOTICE NUMBER, TIGARD,OREGON 97223 (503)639.4171 CITY OF TIGARD BLDG. DEPT. 12420 S.W. MAIN STREET TICARD, OREGON 9722.1 PHONE 639.4171 CONTRACTOR: Pursuant to Sectior(s) of the Uniform Building Code, the following itern(s) require correcting: Date:_ ;?= Z '7-V - Permit No Inspector CALL FOR REINSPECTION r rn •M�' '>�'�� ...,•�y•...� "Ir'"`+�"'M'�°'4L;'4�'�v►dNnanA'�:iiM"N�yM.'r, ,�+4�a'. .; ..v.--°yp� 'l� � .,�pn '^'�ry s CITY 4/6/ I t 79 BUILDING PERMIT APPLICATION OF TIGARD DATETHE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED RUILD�:RPHONE— OR AS SHOWN AND APPROVED IN THE ACCOMPi,NYING PLANS AND SPECIFICATIONS. OWNER F,-Q"F,' '--- t LO'i'NO. Le (.J �i Luo 1040..i .SSW Hill 11i6a 945ME ADDRESS OWNER w J013 ADDRESS --- ARCHIT'EC'T 1--,bltDaJ SW Lobony Ur. ENGINEER N IYtI ADDRESS aJ DESIGNER ©UILDER �-�T n _-- — ^ STRUCTURE ONEW L7 RFMnDEL ❑ADDITION CIREPAIR ❑RENEWrr—A�IL ❑FIRE DAMAGE ❑DEMOL TIUN -U RESIDENCE ^❑COMM DEDUCATIONAI. ❑GOV'T—❑RELIGIOUSCIPATIU ❑CAR PnR7 LJ GARAGE ❑STORAGE❑SLAB []FENCE ❑BOND ❑MO'JING ❑L ONDIT!ONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑.:IGNS —== _ HEAT — OrCU'ANCY � LAND USE ZCNE BLDG.TYPE FIRE ZONE— PLAN CHECK BY_ _-- �,nstruat single �a 11y dwelliny w/att.�UC)led yeragso 5 0-aLi!'I.JIJOR - U oteh=o• - _T and -ISSUE 1Jt ;)ERM-T #263d y -- ;,C j.)er permit J13771 W S625-On u�r�a�448 At]- ft, 949,000. — ------ — I s?5i} . _LQA.QL-_ F4QQ�l.9?f� 4l7 Ilrir;llr 1A NO.�sQFIE�S- A... -N"- HQQ..M:___ _-Yet _ - ' f ) �` RIGHT SIDE eTUILUING DEPARTMENT SET BACKS I RONT' s2 REAR LEFT SIDE _ �—— Permit 1...�4.C)Cl � •0�� THIS PERMIT IS IStiU17D SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALI.- APPLICABLE. CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE .00 WOP K WILT_BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH �r4 Sub total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State. Tax I `l LtinF�NSE. &fcPARAT(�PF�gMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total — �201� STS P()C #2 w1uu*uu By APPLICANT OR ADENT Approved — Receipt No. _......,,�,,.,.,-,...�.._, .,.,.w�ww�.�..�.._..w�._,....r...,..iw...,...,........rww+.9+rr...:..-.�ar.v�..�....o.n.. t .r..r•.r..-..�.�.ww....r+.+.......-�..r— w. •.nr,..�... .-....._......_.......,._......—...�.�a...r wuJL.. ',.55 .,'�IL DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE Contractor � � nj Permit No. �02 cfL� -1�"7� Rough-in M-,-P - -------�- Fixture Final HEATING Contractor Permit No. S/ -, , !�-747 Gas or Oil Rough-In Final ____ ---------- SEWER - --"--- �- DRIVEWAY �. --___ -------.-.�� ---- Final -- LT`- StoMn Drainage (Rain Drain)Final. `—_— Sidewalk i Curb&Street Final Approach ' BLDG_DEPT.FINAL I'tmPORARY CERTIFICATE OCCUPANCY Final -_- CERTIFICATE OCCUPANCY Landscaping q Zoning Final :..pi.w.. •._..... �1 I. a r ! a ,i �3 22 ji 1 q: City Of T gc—i 1YItl'11t?fiIC:L71 Pel-nit NY fV?w Ini:bl diiOn � -))e CJ Rcloca,;on D :Jcidinon �� F�i'r2:.an __� • 3~R `� State� TOTAL— 2 'CON'TRACTOR AD7Rcc� WORKADDRESS �Uy(/S�SG� LCCr�c.� PHONE _I` � t2 6Y L� ^��______— APPLICANTS_`!}r- r 1� � • -Heat Inpu; Rating (BTU Per Hour) _ Vent Sire Flue Size_ FUEL OIL ❑ GAS ❑ ELECT OTH"R _ ITEM NO. FEE ITEM NO. FL ! For of?ermit _ ��— --�—3.00 _ Air Condition_C_om_pressor 15 to 30 HP 10.0 3 New Unser I U'i,003 ETU i _ —4.00 Air Handling 1r ,IUD CFM _ New t0:.r.f J0 BTU £v over •— - I�� SAia— Air Handling_C,r x 10,000_CFM, C Floor 1 — -----__ 1 _. 4 �._5=u:nate x,00 Eva,�r�tivz Gooler Wall - Floor SUSpended _ 4.0Pangs angs Vent Fan In;tafl Vents Only_ _ 2.00 MVen',SysternT 3 rr Fepai: Haat & m Ccoling _- �r —_ — 4,00 _hood Cocn_:•rcial _ �~ — T�.'. 3 ( Ti;Condition :.•�mpre;sor Under 3 HP j 4.00_ Conmercia! Duc• System _ 1p.0 tion Compr_;sor 3 to 15 H! —�.-----_--_- __'x.50 ---- ---= — _—_— l •-L'-t12�S.�L2�.i��:`�32+-..'-..'SitVtS. f1T' ..b1i-rL"'J S��•_{'�ti: .'.S T'Y� .:_21Si�S.i�C=d-T� .2:T��1:_'ST' .-eTS_]'r• IP:SPECTO=t'S CQ..4FlENTS__`��rw CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB CONTRACTORS ; APPP.OVED RY_ _..----- --- DATE ISSUED BY _ IDATE ---- --- I I